SUSAN BROADHURST (NPI# 1245562172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245562172 |
| Entity Type | Individual |
| Full Name | SUSAN BROADHURST |
| Credential | OT |
| Practice Address |
4515 Martin Luther King Jr Way S Suite 100 Seattle WA 98108-2182 |
| Practice Telephone | 2063255325 |
| Practice Fax Number | 2063255326 |
| Mailing Telephone | 2063255325 |
| Mailing Fax Number | 2063255326 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 984994 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | OT0001772 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WASHINGTON DEPARTMENT OF HEALTH | OT00001772 | 01 |
| OR | OREGON DEPARTMENT OF HEALTH | 984994 | 01 |
| Street Address |
4515 MARTIN LUTHER KING JR WAY S SUITE 100 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98108-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881681518 | Providence Health & Services - Washington | Exclusive Provider Organization | 4515 Martin Luther King Jr Way S, Suite 100, Seattle, WA 98108-2182 | 2005-09-27 |
| 1669822888 | Claire Ellis | Registered Nurse | 4515 Martin Luther King Jr Way S, Ste 100, Seattle, WA 98108-2182 | 2016-06-18 |
| 1487019329 | Elizabeth Schultz | Registered Nurse | 4515 Martin Luther King Jr Way S, Ste 100, Seattle, WA 98108-2182 | 2015-12-18 |
| 1770905564 | Ann Marie Mosbacher | Nurse Practitioner | 4515 Martin Luther King Jr Way S, Seattle, WA 98108-2182 | 2014-01-13 |
| 1609118496 | Yan Chen | Internal Medicine | 4515 Martin Luther King Jr Way S, Seattle, WA 98108-2182 | 2013-03-20 |
| 1164763611 | Rachel C Epstein | Registered Nurse | 4515 Martin Luther King Jr Way S, Suite 100, Seattle, WA 98108-2182 | 2013-03-08 |
| 1992052559 | Barbara A Bertucio | Physical Therapist | 4515 Martin Luther King Jr Way S, Seattle, WA 98108-2182 | 2012-08-13 |
| 1215284039 | Celia Jensen | Dietitian, Registered | 4515 Martin Luther King Jr Way S, Seattle, WA 98108-2182 | 2012-08-10 |
| 1740537570 | Brenda Arleen Carlock | Registered Nurse | 4515 Martin Luther King Jr Way S, Ste 100, Seattle, WA 98108-2182 | 2012-08-10 |
| 1609123421 | John A Stewart | Registered Nurse | 4515 Martin Luther King Jr Way S, Seattle, WA 98108-2182 | 2012-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468899 | Connie Heath | Counselor | 13044 14th Ave S, Seattle, WA 98108 | 2020-02-11 |
| 1316501216 | Hawa Ramazani Hamadi | Massage Therapist | 8811 2nd Ave S, Seattle, WA 98108 | 2019-04-25 |
| 1306312111 | Noor Ahmad Daftani | Counselor | 4008 Mlk Jr. Way, Seattle, WA 98108 | 2018-10-18 |
| 1346726015 | Erica M Meurk | Counselor | 3016 S Dakota St, Seattle, WA 98108 | 2018-07-16 |
| 1023527892 | Holly Lynn Wickizer | Social Worker | 6160 S. Columbian Way, Seattle, WA 98108 | 2017-09-25 |
| 1053708628 | Flora Feifei Li | Student in an Organized Health Care Education/Training Program | 6200 13th Avenue South, Seattle, WA 98108 | 2015-04-22 |
| 1174869481 | Cheryll J Frazier | Counselor | 1600 S. Columbia Way S-116-wtrc, Seattle, WA 98108 | 2012-12-14 |
| 1831440973 | Blissa Tanaka | Pharmacist | 1660 S. Columbian Way (s-119), Seattle, WA 98108 | 2012-09-28 |
| 1023367968 | Victoria Bozzacco | Registered Nurse | 4515 Martin Luther King Way S, Seattle, WA 98108 | 2012-09-06 |
| 1992053847 | Russell Larder | Registered Nurse | 4515 Martin Luther King Jr Way, Seattle, WA 98108 | 2012-08-27 |
| Find all providers in zip 98108 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172423 | Jasmine Anastasia Pielemeier | Occupational Therapist | 1724 13th Ave S Apt B, Seattle, WA 98144-4173 | 2020-10-22 |
| 1114533148 | Jennifer Marie Wong | Occupational Therapist | 6819 Vista Ave S, Seattle, WA 98108-3651 | 2020-09-15 |
| 1609486570 | Jessica Lee Baldridge | Occupational Therapist | 4100 Sw Edmunds St Apt 118, Seattle, WA 98116-4556 | 2020-08-05 |
| 1669005476 | Emily Morgan | Occupational Therapist | 1725 S Pearl St, Seattle, WA 98108-1963 | 2020-02-20 |
| 1629608609 | Sarah Pinkham | Occupational Therapist | 2310 S Graham St, Seattle, WA 98108-2964 | 2020-01-18 |
| 1346889359 | Ryan Wilson | Occupational Therapist | 8320 5th Ave Ne Ste A, Seattle, WA 98115-4174 | 2019-12-23 |
| 1811539869 | Margaret Flack | Occupational Therapist | 7821 62nd Ave Ne, Seattle, WA 98115-8173 | 2019-10-10 |
| 1902465222 | Andrew Love | Occupational Therapist | 1660 S Columbian Way # S-117, Seattle, WA 98108-1532 | 2019-06-11 |
| 1578120150 | Anna Doucett | Occupational Therapist | 13229 Linden Ave N Apt 406b, Seattle, WA 98133-7557 | 2019-05-20 |
| 1649731902 | Kelly Souza | Occupational Therapist | 10564 5th Ave Ne Ste 302, Seattle, WA 98125-7200 | 2019-03-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.